Returning Individuals with Mild to Moderate Brain Injury Back to Work: A Systematic Client Centered Approach

Soeker, Shaheed

doi:10.5772/57309

Cited by 4 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8,9 Furthermore, lost income associated with delayed RTW may have a synergistic relationship with injury-related medical expenses, leading to financially devastating impacts on patients and their families, and creating further barriers to optimal follow-up care and rehabilitation. Optimizing RTW is nuanced, and often depends on patient-provider communication, and patient self-efficacy, 10 in addition to clinical recovery. Although recent guidelines have encouraged gradual return to tolerable activity across the course of days after mTBI, [11][12][13] these guidelines are often eschewed in symptomatic patients by negative patient expectations and concerned clinicians which lead to delayed RTW.…”

Section: Introductionmentioning

confidence: 99%

“…Although recent guidelines have encouraged gradual return to tolerable activity across the course of days after mTBI, [11][12][13] these guidelines are often eschewed in symptomatic patients by negative patient expectations and concerned clinicians which lead to delayed RTW. 10,13 It is important to note that RTW encompasses not only the ability to resume prior duties, but doing so with equal quality, efficiency, and stamina as pre-injury performance. 14,15 As effective rehabilitation options begin to emerge, 16,17 it becomes increasingly important to accurately chart recovery trajectories and identify predictors of delayed RTW to proactively intervene.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

182 Predictors of Six-Month Inability to Return to Work in Previously Employed Subjects After Mild Traumatic Brain Injury: A TRACK-TBI Pilot Study

Yue¹,

Phelps²,

Hemmerle³

et al. 2022

Neurosurgery

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

182 Predictors of Six-Month Inability to Return to Work in Previously Employed Subjects After Mild Traumatic Brain Injury: A TRACK-TBI Pilot Study

Yue¹,

Phelps²,

Hemmerle³

et al. 2022

Neurosurgery

View full text Add to dashboard Cite

show abstract

Exploring the transformation in occupational identity: Perspectives from brain injury survivors

Bryson-Campbell

Shaw

O’Brien

et al. 2016

Journal of Occupational Science

View full text Add to dashboard Cite

Predictors of six-month inability to return to work in previously employed subjects after mild traumatic brain injury: A TRACK-TBI pilot study

Yue

Phelps

Hemmerle

et al. 2021

Journal of Concussion

View full text Add to dashboard Cite

Introduction Return to work (RTW) is an important milestone of mild traumatic brain injury (mTBI) recovery. The objective of this study was to evaluate whether baseline clinical variables, three-month RTW, and three-month postconcussional symptoms (PCS) were associated with six-month RTW after mTBI. Methods Adult subjects from the prospective multicenter Transforming Research and Clinical Knowledge in Traumatic Brain Injury Pilot study with mTBI (Glasgow Coma Scale 13–15) who were employed at baseline, with completed three- and six-month RTW status, and three-month Acute Concussion Evaluation (ACE), were extracted. Univariate and multivariable analyses were performed for six-month RTW, with focus on baseline employment, three-month RTW, and three-month ACE domains (physical, cognitive, sleep, and/or emotional postconcussional symptoms (PCS)). Odds ratios (OR) and 95% confidence intervals [CI] were reported. Significance was assessed at p < 0.05. Results In 152 patients aged 40.7 ± 15.0 years, 72% were employed full-time at baseline. Three- and six-month RTW were 77.6% and 78.9%, respectively. At three months, 59.2%, 47.4%, 46.1% and 31.6% scored positive for ACE physical, cognitive, sleep, and emotional PCS domains, respectively. Three-month RTW predicted six-month RTW (OR = 19.80, 95% CI [7.61–51.52]). On univariate analysis, scoring positive in any three-month ACE domain predicted inability for six-month RTW (OR = 0.10–0.11). On multivariable analysis, emotional symptoms predicted inability to six-month RTW (OR = 0.19 [0.04–0.85]). Subjects who scored positive in all four ACE domains were more likely to be unable to RTW at six months (4 domains: 58.3%, vs. 0-to-3 domains: 9.5%; multivariable OR = 0.09 [0.02–0.33]). Conclusions Three-month post-injury is an important time point at which RTW status and PCS should be assessed, as both are prognostic markers for six-month RTW. Clinicians should be particularly vigilant of patients who present with emotional symptoms, and patients with symptoms across multiple PCS categories, as these patients are at further risk of inability to RTW and may benefit from targeted evaluation and support.

show abstract

Returning Individuals with Mild to Moderate Brain Injury Back to Work: A Systematic Client Centered Approach

Cited by 4 publications

References 21 publications

182 Predictors of Six-Month Inability to Return to Work in Previously Employed Subjects After Mild Traumatic Brain Injury: A TRACK-TBI Pilot Study

182 Predictors of Six-Month Inability to Return to Work in Previously Employed Subjects After Mild Traumatic Brain Injury: A TRACK-TBI Pilot Study

Exploring the transformation in occupational identity: Perspectives from brain injury survivors

Predictors of six-month inability to return to work in previously employed subjects after mild traumatic brain injury: A TRACK-TBI pilot study

Contact Info

Product

Resources

About